Provider Demographics
NPI:1720892797
Name:REFINING LEGACY COUNSELING AND CONSULTING PLLC
Entity type:Organization
Organization Name:REFINING LEGACY COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALIA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-658-7752
Mailing Address - Street 1:433 GINGER DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-2306
Mailing Address - Country:US
Mailing Address - Phone:910-467-7171
Mailing Address - Fax:
Practice Address - Street 1:509 BROAD ST STE C
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4803
Practice Address - Country:US
Practice Address - Phone:252-631-6260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)